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City Bielefeld / Stockholm / Berlin / Marburg / Chicago / / Company SPSS Inc. / PETs / Thomson / Jensen RT. / Norton / Transplantation Experimental Research Group / Wiedenmann B. Management / / Country Germany / United States / / / Facility University Marburg / Philipps University / Institute of Theoretical Surgery / Mayo Clinic / / IndustryTerm preoperative imaging / magnetic resonance imaging / imaging / selective portal / / MedicalCondition recurrent organic hyperinsulinism / gastrinoma excision / neoplasms / significantly larger primary tumors / insulinomas / metastatic islet cell carcinoma / duodenal gastrinoma / islet cell tumors / severe hepatic dysfunction / vipoma / small insulinomas / benign insulinoma / neuroendocrine tumors / postoperative liver dysfunction / endocrine tumors / pancreatic tumors / malignant endocrine pancreatic tumors / enterocutaneous fistula / median largest tumor / local and distant metastases / overall tumor / primary pancreaticoduodenal tumor / metastatic disease / Pancreatic tumours / groupe de Recherche et d’Etude du Syndrome / malignant vipoma developed liver metastases / ancreaticoduodenal endocrine tumors / gastrinoma / duodenal gastrinomas / symptomatic hypoglycemia / metastatic gastrointestinal neuroendocrine tumors / detectable disease / concomitant endogenous hyperinsulinism / Endocrine Tumours / duodenal neuroendocrine tumor / midgut carcinoid tumors / large malignant vipoma / Zollinger-Ellison syndrome / pancreatic-duodenal disease / advanced breast cancer / metastatic neuroendocrine tumors / pancreatic islet cell cancers / sporadic insulinomas / metachronous liver metastases / lymph node metastases / pancreatoduodenal neuroendocrine disease / median tumor / tumor / malignant tumors / local and distal metastases / Age (range) Malignant Tumors / Cancer / abdominal abscess / multiple endocrine neoplasia type / tumors / respiratory failure / only lymph node metastases / Metastatic endocrine tumors / MEN 1 / pancreatic endocrine tumor / newly developing tumors / benign neoplasms / metastatic liver neuroendocrine tumors / Islet cell carcinomas / sporadic tumor / either functional tumors / malignant disease / lung metastasis / *No primary tumor / duodenopancreatic neuroendocrine tumors / benign tumors / No primary tumor / neuroendocrine pancreatic tumors / pancreatitis / pancreatic neoplasms / infection / transient pancreatic fistula / metastases / distant metastases / primary tumor / Tumours / Eriksson B. Endocrine tumors / recurrence/metastases / watery diarrhea / advanced neuroendocrine tumors / neuroendocrine metastases / single lung metastasis / higher tumor / gastrinomas / advanced renal carcinoma / neuroendocrine liver metastases / insulinoma / local lymph node metastases / postoperative liver failure / persistent disease / hepatic metastases / small tumors / hepatic dysfunction / Zollinger Ellison syndrome / benign insulinomas / metastatic carcinoid disease / pancreaticoduodenal neuroendocrine tumors / non-functional pancreatic endocrine tumor / synchronous hepatic metastases / nonfunctional islet cell tumors / MS / untreated liver metastases / severe pneumonia / Neuroendocrine hepatic metastases / primary tumors / pancreatic islet cell tumors / Hepatic neuroendocrine metastases / gastrinoma developed liver metastases / Medium tumor / tional tumors / sporadic disease / metastatic islet cell tumors / imageable disease / liver metastases / disease / carcinoid tumors / metastatic neuroendocrine carcinomas / Multiple endocrine neoplasia type 1 / sporadic tumors / ischemic colitis / large vipoma / organic hyperinsulinism / epithelial tumors / Isolated liver metastases / recurrent tumors / sometimes spectacular hormonal syndrome / postoperative infection / wall gastrinoma / diffuse liver metastases / gastrinoma resection / vipomas / malignant insulinoma / syndrome / sporadic insulinoma / developing distant metastases / / MedicalTreatment surgery / surgical treatment / immunosuppression / radiation therapy / renal transplantation / Chemotherapy / / Movie Cause of death / / Organization World Health Organization / Institute of Theoretical Surgery / Palestine Liberation Organization / Department of Pathology / Department of Visceral Surgery / Department of Surgery / / Person Detlef K. Bartsch / Volker Fendrich / Norman Thompson / Arch Surg / PIERRE CLAVIEN / KRISTER HO / Ann Surg Oncol / Enucleation / Anette Ramaswamy / Matthias Rothmund / Peter Langer / Ann Surg / Ilhan Celik / PETER NEUHAUS / Andreas Zielke / DANIEL JAECK / LAUREANO FERNA / / Position experienced endocrine surgeon / Professor / pancreatic head / whole pancreatic head / head / / Product fluorouracil / dacarbazine / / ProvinceOrState Connecticut / / PublishedMedium Lippincott Williams & Wilkins / / Technology radiation / magnetic resonance imaging / Chemotherapy / alpha / tomography / ultrasound / ESA / MRI / / SocialTag 
ORIGINAL ARTICLES An Aggressive Surgical Approach Leads to Long-term Survival in Patients With Pancreatic Endocrine Tumors Volker Fendrich, MD,* Peter Langer, MD,* Ilhan Celik, MD,† Detlef K. Bartsch, MD,§ Andreas Zi